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Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis

      Purpose

      The objective of this review was to assess the effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery.

      Design

      Systematic review and meta-analysis.

      Methods

      A comprehensive literature search was made on PubMed, CINAHL, Ovid, ProQuest, ScienceDirect, Scopus, Web of Science, and the Cochrane database between 1995 and 2015. Fourteen randomized controlled trials were included. Data analysis was performed with RevMan software and created the Supplementary Appendix using the GRADE approach.

      Findings

      Meta-analysis showed that preoperative education reduced anxiety scores (standardized mean difference = −0.96, 95% confidence interval: −1.37, −0.54; P < .0001). However, there was no significant effect of preoperative education on pain, depression, and length of hospital stay. There is low-quality evidence, and reasons for downgrading are due to study design limitations, inconsistency, and imprecision of effect estimates.

      Conclusions

      The results show that preoperative education can effectively decrease anxiety in patients undergoing cardiac surgery.

      Keywords

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      Biography

      C. Ramesh, MSN, BSN, Manipal College of Nursing, Manipal University, Manipal, Udupi, Karnataka, India

      Biography

      Baby S. Nayak, PhD, MPhil, MSN, BSN, Manipal College of Nursing, Manipal University, Manipal, Udupi, Karnataka, India

      Biography

      Vasudev Baburaya Pai, DNB, MS, MCh, FRCS, Department of Cardiovascular and Thoracic Surgery, Kasturba Medical College & Hospital, Manipal University, Manipal, Udupi, Karnataka, India

      Biography

      Nitin T. Patil, DNB, DA, MBBS, Department of Anaesthesia, Kasturba Medical College & Hospital, Manipal University, Manipal, Udupi, Karnataka, India

      Biography

      Anice George, PhD, MPhil, MSN, BSN, Manipal College of Nursing, Manipal University, Manipal, Udupi, Karnataka, India

      Biography

      Linu Sara George, PhD, MSN, BSN, Department of Fundamentals of Nursing, Manipal College of Nursing, Manipal University, Manipal, Udupi, Karnataka, India

      Biography

      Elsa Sanatombi Devi, PhD, MSN, BSN, Department of Medical Surgical Nursing, Manipal College of Nursing, Manipal University, Manipal, Udupi, Karnataka, India

      Linked Article

      • Erratum
        Journal of PeriAnesthesia NursingVol. 33Issue 5
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          In the original article, “Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis,” (2017;32:518-529.e2), the first author's name given name should be Ramesh and their surname should be Chandrababu.
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